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MH
Millennium Healthcare Management Serv LLC
Clinical Quality Specialist II
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Based on Florida data
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What they do
A Clinical Data Specialist manages data and information gathered during a clinical trial, including studies of medical treatments and drugs.
$68,138 / year median in Florida
+7% projected growth
Job Description
Job Description Summary Clinical Quality Specialist II — Summary The HEDIS Quality Specialist II supports the annual HEDIS data collection and reporting process by performing chart review and retrieval, as well as documentation validation. This role ensures patients receive multiple opportunities to meet HEDIS specifications, assist with outreach to patients and other medical facilities for missing information. Works closely with team lead to resolve discrepancies. Aid with special projects, monitoring data integrity, and contributes to process improvements that enhance the organization's quality performance. How will you make an impact & Requirements Key Focus Areas Proficiency within EMR systems and record keeping portals. Conduct patient outreach to order and schedule preventative services and tests. Exhibits strength in verbal and written communication and prioritization of assignments. Aid in sustaining continuous reconciliation of patient data with payors and internal systems. Perform data entry and maintain tracking spreadsheets. Retrieve and review external medical records for gap closure. Validate documentation against HEDIS requirements. Coordinate with providers to close quality gaps and correct documentation. Monitor trends and recommend workflow improvements.